Blvd Dentistry Richmond Pllc | |
18320 W. Airport Rd Suite 200 Richmond TX 77407 | |
(972) 590-8809 | |
Not Available |
Full Name | Blvd Dentistry Richmond Pllc |
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Speciality | Dentist - General Practice |
Location | 18320 W. Airport Rd, Richmond, Texas |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blvd Dentistry Richmond Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Blvd Dentistry Richmond Pllc 18320 W. Airport Rd Suite 200 Richmond TX 77407 Ph: (972) 590-8809 |
NPI Number | 1699254318 |
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Provider Enumeration Date | 08/13/2018 |
Last Update Date | 08/13/2018 |
Identifier | Type | State | Issuer |
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1699254318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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